Individual
ANNETTE RENEE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
454 OLD STREET RD, SUITE 107, PETERBOROUGH, NH 03458-1200
(603) 924-4671
Mailing address
454 OLD STREET RD, SUITE 107, PETERBOROUGH, NH 03458-1200
(603) 924-4671
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
032446-23
NH
363LA2200X
Adult Health Nurse Practitioner
RN183163
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002275301
MEDICARE PTAN
NH
05
—
30348959
—
NH
Enumeration date
09/15/2009
Last updated
09/14/2011
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